異位性皮膚炎診斷 2002 Diagnostic Standard for Atopic Dermatitis JMAJ 45(11): 460–465, 2002

Diagnostic Standard for Atopic DermatitisJMAJ 45(11): 460–465, 2002Joji TADADirector, Division of Dermatology, Okayama Municipal Hospital
摘要：
對於皮膚科醫生來說，異位性皮炎 (AD) 的診斷相對容易。鑑於AD的增加和惡化、對其治療的困惑以及大量但不一定正確的信息的流行正在造成日本的社會問題，基於準確認知的AD診斷和治療極為重要。雖然 Hanifin 和 Rajka 的診斷標准在世界範圍內廣為人知，但由於許多 AD 患者正在兒科、過敏等部門接受治療，因此需要一種易於被非皮膚科醫生理解和使用的標準。在這種情況下，診斷標準建立日本皮膚科學會的認證非常有意義。通過與以往發表的其他診斷標準的比較，本文詳細討論了“瘙癢症”的主要項目，

Abstract:
For a dermatologist, the diagnosis of atopic dermatitis (AD) is relatively easy. In view of the fact that the increase and exacerbation of AD, confusion over its treatment and prevalence of abundant but not necessarily correct information are creating social issues in Japan, diagnosis and treatment of AD based on precise cognition are extremely important. While Hanifin and Rajka’s diagnostic standard is known worldwide, a standard that is easily appreciated and handy for use by non-dermatologists is needed as many AD patients are being treated in departments of pediatrics, allergy, etc. In this context, the diagnostic standard established by the Japanese Dermatological Association is quite meaningful. By comparing the standard with other previously published diagnostic standards, this paper discusses in detail the main items of “pruritis”, “exanthematous features and their distribution” and “chronically relapsing course”, and emphasizes differential and exclusion diagnoses.